Surgical Site Infection and the Operating Room Checklist - Safer ...

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SHN! Recommendation 1 • Based on the evidence, the Safer Healthcare Now! faculty recommend that prophylactic antibiotics be completely absorbed within 60 minutes of first incision, and should be repeated for surgeries lasting longer than the half-life life of the antibiotic (4 hours for cephalosporins). • Antibiotics administered for cardiac, thoracic, orthopaedic and vascular patients should be discontinued within 24 hours of the end of surgery, whereas noncomplex and uncomplicated surgeries require no further administration of antibiotics following surgery. 1. Safer Healthcare Now! Getting Started Kit: Surgical Site Infection Prevention, March 2010
Prophylaxis Dosing • Consider the upper range of doses for large patients - Gastroplasty: SSI rates 16.5% vs 5.6% 1 • Repeat doses for long operations (> 4 hours) - Cardiac surgery: SSI rates 16% vs 7% 2 1 Forse, R; Karam, B; Maclean, D; Cristou, N. Antibiotic prophylaxis for surgery in morbidly obese patients. Surgery, 1989, 106: 750-7 2 Zanetti et al., Emerg Infect Dis, 2001
Page 1 and 2: PREVENTION OF SURGICAL SITE INFECTI
Page 3 and 4: Prophylactic Antibiotics
Page 5: Duration Concerns • There is a la
Page 9 and 10: SHN! Recommendation • Based on th
Page 11 and 12: Hair Removal
Page 13 and 14: Change Ideas • Develop a letter f
Page 15 and 16: Consequences of Mild Hypothermia
Page 17 and 18: Change Ideas • Pre operative warm
Page 19 and 20: Recent Research • Strict t vs. co
Page 21 and 22: Change Ideas • Pre-op blood sugar
Page 23 and 24: The Ideal Skin Antimicrobial • Th
Page 25 and 26: Safety • CHG 2%/70% IPA solution
Page 27 and 28: SHN! Recommendation 1 • To maximi

Surgical Site Infection and the Operating Room Checklist - Safer ...

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